NUR 209 | Questions with 100% Verified Answers | Latest Update
2026/2027
Question: A nurse is engaged in diagnostic reasoning to propose
appropriate nursing diagnosis for a client. Place the steps in
the order that they would occur from first to last during this
process.
Answer:
Correct response: Organizing the existence of cues, Generating possible diagnoses,
Comparing cues to possible diagnoses, Conducting a focused data collection, Validating
diagnoses
Question: Which activity is the clearest example of the evaluation step in
the nursing process?
Answer:
Correct response: checking the client's blood pressure 30 minutes after administering
captopril.
Question: A nurse arrives at the home of an older adult client. The
agency was called because a neighbor noticed that the client
was home alone. The nurse finds the client alone in the living
room. When asked about the client's daughter who lives there
and has been caring for her, the client says, "She went on
vacation for about a month. She'll be back soon." Further
assessment reveals that there are no other family members or
services currently involved. The nurse would identify this
situation as:
Answer:
abandonment
Question: During a home health care visit, the nurse identifies a nursing
diagnosis of Caregiver Role Strain for a parent who is caring
for a child dependent on a ventilator. What subjective
assessment data would support the nurse's diagnosis?
Answer:
The parent states, "I cannot allow anyone else to help because they won't do it right."
,Question: The night shift RN is caring for a hospitalized adult client who
reports being unable to sleep. The client states, "I just can't
sleep here. I miss my home. There are too many lights and it is
too hot." Which would be the best nursing diagnosis for this
client?
Answer:
Disturbed sleep pattern
Question: The nurse is performing an admission assessment on a young
client admitted to the unit. Which of the following are
considered objective data? Select all that apply.
Answer:
38-year-old man
height 6' (1.82m)
weight 195 lb (89kg)
Question: A client has had major abdominal surgery and just returned to
the unit from the operating room. The nursing priority is to:
Answer:
complete postoperative assessment.
Question: During morning report, the night nurse tells the day nurse that
the client refused to allow the technician to draw blood for
laboratory testing. What step would be essential for the day
nurse to complete before selecting a nursing diagnosis to
address this issue?
Answer:
The nurse should determine the reason for the client's refusal.
Question: When the nurse inspects a postoperative incision site for
infection, which one of the following types of assessments is
being performed?
Answer:
Focused
Question: A nurse designs a care plan to improve walking mobility in an
older adult client. When encouraged to implement the new
strategies for ambulation the client refuses to try and tells the
nurse, "I find it easier to use a wheelchair." What action by the
nurse may have led to failure to meet the outcome?
Answer:
developing the plan without client input
,Question: Which statement appropriately identifies an at-risk nursing
diagnosis for a woman 78 years of age who is confined to
bed?
Answer:
Risk for impaired skin integrity related to bed rest
Question: A student takes an adult client's pulse and counts 20
beats/min. Knowing this is not the normal range for an adult
pulse, what should the student do next?
Answer:
Ask the instructor or a staff nurse to take the pulse.
Question: A nurse takes the vital signs of a new hospital client admitted
for severe abdominal pain. Which initial step of the nursing
process is this nurse performing?
Answer:
Assessment
Question: The RN is admitting a client to a medical unit. The nurse
delegates the measurement of the vital signs to unlicensed
assistive personnel (UAP) while she collects data. After
completing the admission process the client reports a severe
headache, so the nurse reassesses the vital signs to find the
client's blood pressure extremely elevated. Whose
responsibility is the accuracy of the blood pressure
measurement?
Answer:
the nurse
Question: Nurses collect objective and subjective data when performing
client assessments. What is an example of objective data?
Answer:
The skin of a client who has liver failure has a yellowish tint.
Question: The nurse writes the following on the client's chart: The client
will have complete healing of the surgical incision on the right
lower quadrant of the abdomen in 3 weeks. This is a(an):
Answer:
outcome identification
, Question: The nurse is caring for a client who is suspected of having a
kidney infection. Which scenario involves the use of subjective
data from the primary source?
Answer:
The client tells the nurse that there is a burning sensation when voiding.
Question: A nurse is documenting assessment findings. Which finding
would the nurse include as objective data? Select all that
apply.
Answer:
Blood pressure 128/68 mm Hg
Weight 175 lb (80 kg)
Bowel sounds active in all 4 quadrants
Question: A nurse is reviewing the health history and physical
assessment findings for a client who is having respiratory
problems. Of the following data collected, what data from the
health history would be a cue to a nursing diagnosis for this
problem?
Answer:
"I get out of breath when I walk a few steps."
Question: After completing an assessment of a client, which data would
the nurse determine is the priority for care?
Answer:
Question: Severe bleeding from a wound
Answer:
Question: The nurse is reviewing information about a client and notes
the following assessment data. Which data cue does the nurse
recognize as subjective data?
Answer:
Question: Pain rating is 7
Answer:
2026/2027
Question: A nurse is engaged in diagnostic reasoning to propose
appropriate nursing diagnosis for a client. Place the steps in
the order that they would occur from first to last during this
process.
Answer:
Correct response: Organizing the existence of cues, Generating possible diagnoses,
Comparing cues to possible diagnoses, Conducting a focused data collection, Validating
diagnoses
Question: Which activity is the clearest example of the evaluation step in
the nursing process?
Answer:
Correct response: checking the client's blood pressure 30 minutes after administering
captopril.
Question: A nurse arrives at the home of an older adult client. The
agency was called because a neighbor noticed that the client
was home alone. The nurse finds the client alone in the living
room. When asked about the client's daughter who lives there
and has been caring for her, the client says, "She went on
vacation for about a month. She'll be back soon." Further
assessment reveals that there are no other family members or
services currently involved. The nurse would identify this
situation as:
Answer:
abandonment
Question: During a home health care visit, the nurse identifies a nursing
diagnosis of Caregiver Role Strain for a parent who is caring
for a child dependent on a ventilator. What subjective
assessment data would support the nurse's diagnosis?
Answer:
The parent states, "I cannot allow anyone else to help because they won't do it right."
,Question: The night shift RN is caring for a hospitalized adult client who
reports being unable to sleep. The client states, "I just can't
sleep here. I miss my home. There are too many lights and it is
too hot." Which would be the best nursing diagnosis for this
client?
Answer:
Disturbed sleep pattern
Question: The nurse is performing an admission assessment on a young
client admitted to the unit. Which of the following are
considered objective data? Select all that apply.
Answer:
38-year-old man
height 6' (1.82m)
weight 195 lb (89kg)
Question: A client has had major abdominal surgery and just returned to
the unit from the operating room. The nursing priority is to:
Answer:
complete postoperative assessment.
Question: During morning report, the night nurse tells the day nurse that
the client refused to allow the technician to draw blood for
laboratory testing. What step would be essential for the day
nurse to complete before selecting a nursing diagnosis to
address this issue?
Answer:
The nurse should determine the reason for the client's refusal.
Question: When the nurse inspects a postoperative incision site for
infection, which one of the following types of assessments is
being performed?
Answer:
Focused
Question: A nurse designs a care plan to improve walking mobility in an
older adult client. When encouraged to implement the new
strategies for ambulation the client refuses to try and tells the
nurse, "I find it easier to use a wheelchair." What action by the
nurse may have led to failure to meet the outcome?
Answer:
developing the plan without client input
,Question: Which statement appropriately identifies an at-risk nursing
diagnosis for a woman 78 years of age who is confined to
bed?
Answer:
Risk for impaired skin integrity related to bed rest
Question: A student takes an adult client's pulse and counts 20
beats/min. Knowing this is not the normal range for an adult
pulse, what should the student do next?
Answer:
Ask the instructor or a staff nurse to take the pulse.
Question: A nurse takes the vital signs of a new hospital client admitted
for severe abdominal pain. Which initial step of the nursing
process is this nurse performing?
Answer:
Assessment
Question: The RN is admitting a client to a medical unit. The nurse
delegates the measurement of the vital signs to unlicensed
assistive personnel (UAP) while she collects data. After
completing the admission process the client reports a severe
headache, so the nurse reassesses the vital signs to find the
client's blood pressure extremely elevated. Whose
responsibility is the accuracy of the blood pressure
measurement?
Answer:
the nurse
Question: Nurses collect objective and subjective data when performing
client assessments. What is an example of objective data?
Answer:
The skin of a client who has liver failure has a yellowish tint.
Question: The nurse writes the following on the client's chart: The client
will have complete healing of the surgical incision on the right
lower quadrant of the abdomen in 3 weeks. This is a(an):
Answer:
outcome identification
, Question: The nurse is caring for a client who is suspected of having a
kidney infection. Which scenario involves the use of subjective
data from the primary source?
Answer:
The client tells the nurse that there is a burning sensation when voiding.
Question: A nurse is documenting assessment findings. Which finding
would the nurse include as objective data? Select all that
apply.
Answer:
Blood pressure 128/68 mm Hg
Weight 175 lb (80 kg)
Bowel sounds active in all 4 quadrants
Question: A nurse is reviewing the health history and physical
assessment findings for a client who is having respiratory
problems. Of the following data collected, what data from the
health history would be a cue to a nursing diagnosis for this
problem?
Answer:
"I get out of breath when I walk a few steps."
Question: After completing an assessment of a client, which data would
the nurse determine is the priority for care?
Answer:
Question: Severe bleeding from a wound
Answer:
Question: The nurse is reviewing information about a client and notes
the following assessment data. Which data cue does the nurse
recognize as subjective data?
Answer:
Question: Pain rating is 7
Answer:
